Active NPI
Staroaks Behavioral Home
- Assisted Living Facility (Behavioral Disturbances)
- Phoenix, AZ
National Provider Identifier
1902557929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)
- Legal business name
- STAROAKS BEHAVIORAL HOME
- Practice address
- 16428 N 7TH PL
Phoenix, AZ 85022-2603 - Phone
- (713) 909-6953
- NPI assigned
- Jan 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Augustina O Joel
- Title
- Administrator
- Phone
- (713) 909-6953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | Primary |
Addresses
Primary practice location
16428 N 7TH PL
Phoenix, AZ 85022-2603
Mailing address
16428 N 7TH PL
Phoenix, AZ 85022-2603
Phone (713) 909-6953
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000 | Medicaid | AZ | |
| BH7255 | Medicaid | AZ |
National Provider Directory
National Provider Directory- Tax ID family
- Staroaks Behavioral Home
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1023506300
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1285284539
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1710438460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641859200000",
"number": "1902557929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16428 N 7TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850222603",
"telephone_number": "713-909-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16428 N 7TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850222603",
"telephone_number": "713-909-6953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAROAKS BEHAVIORAL HOME",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-11",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A",
"authorized_official_last_name": "JOEL",
"authorized_official_first_name": "AUGUSTINA",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "713-909-6953"
},
"taxonomies": [
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BH7255",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.